Wesen, Cheryl A
Wesen, Cheryl A is an individual health care provider with primary practice located at 19229 Mack Ave Ste 34, Grosse Pointe Woods MI 48236-2858. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Wesen, Cheryl A can be contacted via phone (313) 647-3912.Contact Information
Primary practice address
19229 Mack Ave Ste 34
Grosse Pointe Woods MI 48236-2858
Phone: (313) 647-3912
Fax: (313) 347-3902
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301062525 | Michigan |
Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 4301062525 | Michigan |
Profile Details
NPI number | 1255319729 |
---|---|
LBN Legal business name | Wesen, Cheryl A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 5th, 2006 |
Last updated | Feb 3rd, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255319729 | NPPES |
Michigan | MEDICAID | 3475787 | |
Michigan | MEDICAID | 4816915 | |
Michigan | Other | 0H231320 |
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